NPIMap

Commonwealth of Kentucky

A Medicare group practice based in Louisville, KY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0840180816), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840180816The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
4
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040316000438 KY Part B Supplier - Clinic/Group Practice 1114346467
O20080312000753 KY Part A Provider - Hospital 1578871679
O20160425002573 KY Part A Provider - Skilled Nursing Facility 1043686900
O20150415002129 KY Part B Supplier - Clinic/Group Practice 1326467986

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 49

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (28).

Sources for this page